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Annals of Internal Medicine tip sheet for May 8, 2012, online issue
Date:5/7/2012

1. Evidence Review: Screening Women for Intimate Partner Violence May Have Benefits, Few Harms

Intimate partner violence, or IPV, includes a range of abusive behaviors perpetrated by someone who is in an intimate relationship with the victim. Abusive behaviors may include physical violence, sexual violence, rape, and psychological aggression all of which have immediate health effects on the victim. While victims and perpetrators can be male or female, women are disproportionately victimized (up to 5.3 million women are affected each year in the U.S.). In 2004, the United States Preventive Services Task Force (USPSTF) found insufficient evidence to support screening women for IPV. To inform an update of its previous recommendation, the Task Force reviewed articles published since 2003 to determine the effectiveness of IPV screening and interventions for women in health care settings in reducing IPV and related health outcomes, the diagnostic accuracy of screening tools, and adverse effects of screening and interventions. The evidence shows that women assigned to screening versus usual care did not have statistically significant improvements in IPV or health outcomes. However, more women in the screened group discussed IPV with their clinician (44 percent versus 8 percent). Clinicians may use questionnaire or interview-type tools to screen women for IPV. According to published research, five of the 13 tools assessed demonstrated high diagnostic accuracy. Few studies reported adverse effects of screening and interventions for IPV, but a large randomized controlled trial indicated no difference in adverse effects between women who were screened and women who were not. But some women who are screened may experience discomfort, loss of privacy, emotional distress, and concerns about further abuse. These data will be used to develop an updated recommendation on screening for IPV.


2. Physician Counseling Increases Sun-Prote
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Contact: Abbey Anderson
aanderson@acponline.org
215-351-2656
American College of Physicians
Source:Eurekalert

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